Active NPI
Adam Bailey Duncan, DO
- Emergency Medicine Physician
- Ft Irwin, CA
National Provider Identifier
1619433430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- S7864
- Practice address
- 390 North Loop Rd
Ft Irwin, CA 92310 - Phone
- (760) 383-5289
- NPI assigned
- Feb 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | S7864 | TX | Primary |
Addresses
Primary practice location
390 North Loop Rd
Ft Irwin, CA 92310
Mailing address
390 North Loop Rd
Ft Irwin, CA 92310
Phone (760) 383-5289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1619433430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 NORTH LOOP RD",
"city": "FT IRWIN",
"state": "CA",
"postal_code": "92310",
"telephone_number": "760-383-5289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 NORTH LOOP RD",
"city": "FT IRWIN",
"state": "CA",
"postal_code": "92310",
"telephone_number": "760-383-5289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "ADAM",
"middle_name": "BAILEY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-17",
"last_updated": "2023-08-02",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "S7864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Irwin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.